Physician

Catherine Booth Heilman, M.D.

According to 2025 Medicare claims, Catherine Heilman, M.D. (NPI: 1114956018) practices family practice in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1649348525; TIN: 23-2730785) and primary practice location at 17316-9638. Heilman is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Heilman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 344 traditional Medicare patients, billed 1,270 HCPCS/CPT codes, and received $83,946 in Medicare payments. The top billing code was 90662 (Influenza vaccine split virus, preservative free). Part D data shows 10,574 prescription claims across 652 beneficiaries totaling $751,025 in drug costs, led by Eliquis (Apixaban). DME data shows 204 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $316,110 to $751,025. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $6,166 to $17,642.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	296	1,278	$74,833
2016	321	1,247	$66,964
2017	396	1,374	$74,792
2018	385	1,398	$76,899
2019	397	1,462	$83,542
2020	399	1,228	$62,445
2021	406	1,223	$77,912
2022	406	1,273	$87,548
2023	340	1,125	$78,321
2024	344	1,270	$83,946

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	378	6,343	$316,110
2016	399	6,963	$367,096
2017	525	8,086	$434,728
2018	577	10,320	$593,713
2019	595	10,136	$566,200
2020	613	9,628	$605,270
2021	657	10,444	$754,807
2022	689	10,868	$886,820
2023	664	10,292	$803,099
2024	652	10,574	$751,025

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	35	91	$2,526
2016	33	98	$2,521
2017	32	78	$1,265
2018	41	95	$1,277
2019	35	132	$1,919
2020	28	187	$18,326
2021	15	227	$16,867
2022	36	291	$18,592
2023	23	228	$16,966
2024	12	204	$13,565

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
90662	Influenza vaccine split virus, preservative free	95	97	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	281	508	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	67	74	$48
G0008	Administration of influenza virus vaccine	98	100	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	102	118	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	138	8,666	$163,371
Jardiance	Empagliflozin	79	4,268	$79,952
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	53	2,430	$49,794
Ozempic	Semaglutide	35	1,288	$39,621
Xarelto	Rivaroxaban	36	1,980	$36,640

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	20	$8,443
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	22	$1,826
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	39	$1,112
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	13	$603
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	14	$519

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Catherine Booth Heilman, M.D.?

Tedicare shows public-source Medicare data for Catherine Booth Heilman, M.D. (NPI 1114956018), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Catherine Booth Heilman, M.D. have ACO affiliation data?

Catherine Booth Heilman, M.D. is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to Catherine Booth Heilman, M.D.?

Catherine Booth Heilman, M.D. is linked to WELLSPAN MEDICAL GROUP (billing NPI 1649348525) in the available physician profile data.

Does Catherine Booth Heilman, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.